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HomeMy WebLinkAbout0313 CASTLEWOOD CIRCLE 3l Cas41�.�®5cL.. Cr"r, i Town of Barnstabl Building e Post Thrs,Ca"r`d So TFi`atlt is Visible From tte;Street App oved PlansMist be Retained on Joband this Card Must be Kept MAS& Posted Until Final InSpectronHas Bee'n;Mai de iPermit Where a Certificateof Occupancy rs Required;such yBurldrngshall Not be Occupr�unrlail Inspection hbeen m Permit No. B-20-627 Applicant Name` FONSECA,ALEXANDRE MAXIMO Approvals Date Issued: 03/17/2020 Current Use: - Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 09/17/2020 Foundation: Location: 313 CASTLEWOOD CIRCLE, HYANNIS Map/Lot: 273 112 Zoning District: RC-1 Sheathing: Owner on Record: FONSECA,ALEXANDRE MAXIMO Contractor Name - Framing: st Contra ctor License Address: 313 CASTLEWOOD CIRCLE - V ,K 2 z , Cost. 10 000.00 HYANNIS,MA 02601 ;fir , Est P.rolect $ Chimney: 0z Pemrt Fee: $ 101.00 Description: remove door from mudroom to pantry,changpl I'd cabinets,new Insulation: sheetrock on walls,take mudroom down and add a pantry Free Pad $101.00 Project Review Req: D�ate �s� 3/17/2020 Final: Plumbing/Gas r u Rough Plumbing:. , � This permit shall be deemed abandoned and invalid unless the work author-0i by this permit is commenced within six months after issuance. Final Plumbing: All work authorized by this permit shall conform to the approved application and thb approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shalhbe in compliance with the local zoning;byfiaws'and codes. Rough Gas: This permit.shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Final Gas: Fa. The Certificate of Occupancy will not be issued until all applicable signatures by the Building and,Fire Officials are,provided on thisgpermit. Electrical Minimum of Five Call Inspections Required for All Construction Work: ' z N ' Service: 1.Foundation or Footing 2.Sheathing Inspection x ' 3.All Fireplaces must be inspected at the throat level before firest flue,''*' is nstalle�d': ' Rough: ... r 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: IKE Application Number.....!.:................. .............................. BARNSTABLL Permit Fee......4W..................Zoning District........................ 1639. TotalFee Paid:............................................................... ...... TOWN OF BARNSTABLE Permit Approval by.. ................on... BUILDING PERMIT Map............p2.,e.7.3..........Parcel......... APPLICATION Section I — Owner's Information and Project Location ProJect Address C1 5rLe�Uoor c4K Village HyAoPis Owners Name AleXn(QDM W foo5eclq SCANNS Owners Legal Address 3-L,5 cAq 5-r(-F cl P.. MAR 17 2020 City "Jn t3t,)i 5 State Zip--0,R 6 0 A Owners Cell 12 0 3 E-mail -R n FA e La n E—Ica�Ortn#zz �/77 Section 2 —Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet El Commercial Structure under 35,000 cubic feet Single Two Family Dwelling � Section 3 —Type of Permit ❑ New Construction E] Move/Relocate ❑ Accessory Structure ❑ Change of use El Demo/(entire structure) El Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild El Deck Apartment Sprinkler System F-1 Ad(htion E] Retaining wall E] Solar BUILDING DEPT. M"Renovation El Pool El Foundation Only FEB 2.9 ZQZq Other- Specify Section 4 - Work Description Toatm Of BARNSTABLE C�46,k\Ge- 01d CA111 067RU —1--AKG- MQbR)WM DOOM A�b 110D 4 P190TJZ,� U Last updated: 1/31/2020 Application Number.................................................... Section 5—Detail s Cost of Proposed Construction �yjp-^'rO--Square Footage of Project Age of Structure Dig Safe Number # Of Bedrooms Existing Total# Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6 — Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors -11A;;' r ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑ Add/relocate bedroom j Water Supply y ❑ Public ❑ Private j Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes ❑ No Section 7— Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8— Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑' No Last updated: 1/31/2020 A r- . Z Z i 6 FT i I 9 t��NO. f DATE o?/16 21 RECEIVED FROM A.1 . DOLLARS s AZ� Account Total $ -xk. Amount Paid $ ° Balance Due $ �; :` Signature a gQk The Commonwealth of Massachuseft Department of InduytrialAccidents Office of Investigadons 600 Washington Sheet Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): CXla FOV3SF A Address: 3 J 3 M1_ ( -u,)006 C. R 02&0 - 18 0 3 City/State/Zip: N J'- Phone#: 5OS- Are you an employer?Check the appropriate bog Type of project(required): I-❑ I am a employer with- 4. 0,I am a general contractor'and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. .7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' t 9. ❑Building addition [No workers' comp.instrance . ..comp.insurance. � 5. .We are a corporation and its 10.❑Electrical repairs or additions 3..501'r��] officers have exercised their 11. repairs or additions I am a homeowner doing all work ❑Plumb' P right of exemption per MGL �� +myself.[No workers comp. 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no 13.❑Other employees.[No workers' comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. lContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. ' r I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify !pains nd penalties ofperjury that the information provided above is true,and correct. Si Date: O d? 20 Phone#• O rrB�oard se only. Do not write in this area,to be completed by city or town official own: Permit/License# uthority(circle one): of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector , er Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of'suc i employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permittlicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for firture permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The CommmwWth of Massachusetts Department of Industrial Accidents Qffi'tee of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFI Revised 4-24-07 Fax##617-727-7749 www.mm.gov/dia Application Number........................................... Section 9-- Construction Supervisor r: Name Telephone Number Address City State Zip License Number License Type Expiration Date Contractors Email Cell # I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date Section 10—Home Improvement Contractor Name Telephone Number Address City State Zip Registration Number Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C... Signature Date Section 11 -Home Owners License Exemption Home Owners Name: ALE Ahi\3 AZ hiq 76Lk5" Telephone Number 50$ %R 90 — 190 3 Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required 0 MR d the Town of Barnstable. Signature Date 0,2 -�2 APPLICANT SIGNATURE Signature Date 0,2 - a 7 -o?p Print Name DA V,60 5 e c A Telephone Number 50 8 - 0-3 E-mail permit to: ���A1r L�_t!}� �� l�®T(Y1 A 1� =�41Y1 �� Last updated: 1/31/2020 Section 12 — Department Sign-Offs Health Department ❑ Zoning Board (if required) , Historic District ❑ Site Plan Review(if required), ❑ t Fire Department ❑ Conservation " For commercial work,p ease take your plans,directly to the fire department for approval. Section 13 — Owner's Authorization F as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit'application for: (Address of job) Signature of Owner date Print Name I Last updated: 1/31/2020 Town of Barnstable BU11CilI1 a' r: xx,,s �.,, r„z.., 'i :-� �, .�"; t r ., a n ...4 �:. , �-r: - - -This Ca�rdSo Thatit / ble Fromth'e.Str"eet.`=A r�roved'Pla'ns,Must be Retained an Jobantlthis CardMustbe Ke t lARIMAEM �P'O �;' .',.: ," . r P s y�. � �, Posted Until Finals=Ins` eetion.Has"Beenlade, f E F " y Cert�fi " f`.Occu`anc: is-:Re wired such:Buildin shall Notjbe Occ'' "ied'until.asFinai"`Ins eet�on.ha`s.:been ma:de." Permit " � Where a cats o Permit No. B-17-159 Applicant Name: CAPE COD INSULATION, INC Approvals rt Date Issued: 03/09/2017. Current Use: Structure Permit Type: Building-.Insulation-Residential - Expiration Date: 09/09/2017 Foundation: Location: 313 CASTLEWOOD CIRCLE, HYANNIS Map/Lot 273 112 Zoning District: RC-1 Sheathing: fW Owner on.Record: FONSECA,ALEXANDRE MAXIMO � Contractor Name CAPE COD INSULATION, INC Framing: 1 Address: 313 CASTLEWOOD CIRCLE . Contractor lacense�153567 2 HYANNIS, MA 02601 _.,.. Est Project Cost: $600.00 Chimney: Description: Weatherization f Permit Fee: $85.00 11 Insulation: Project Review Req: Weatherization _` hs FeePaid" $85.00 I `` ate��,f 3/9/2017 Final Tl 1y Plumbing/Gas p , til� Rough Plumbing: � . . .. Building Official Final Plumbing: this permit is commenced within six months after issuance.This permit shall be deemed abandoned and invalid unless the work authonzed by g �; Rough Gas: cat All work authorized by this permit shall conform to the approved appliiRVifid the approved construction documents for which this permit has been granted. � � All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by laws and codes. Final Gas:" This permit shall be displayed in a location clearly visible from access street or road d shall be maintained open for public inspeeLi bn for the entire duration of the work until the completion of the same. Electrical The Certificate of occupancy will not be issued until all applicable signatures by th eBuildmgand Fire Officialsareprovided on this"'permit. Service: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage,Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT 31147 1147 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �w Parcel I I pp A lication # — B�J�. Health Division L011`G Dr-)�: Date Issued Conservation Division JAB' 2 02011 Application Fee S. p Planning Dept. TO �� Permit Fee W�� Date Definitive Plan Approved by Planning Board Qs `�`'���S ' -LL Historic - OKH _ Preservation / Hyannis Project Street Address 'nG,,� � ew6a� Village ow,(-) Or Owner Address Telephone 2��� y..y �b o .f Permit Request 2 �� WVV-6 air l7 1 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation �� Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ,/O Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑ Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name ��� (�� Telephone Number Address VUI� License# t Home Improvement Contractor# Email AA6 1-� (alb °o Worker's Compensation # ALL CONSTRUCTION DEBRIS RESUL7 FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# `DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL r PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. Massachusetts Oepartmenl of Public Safety ^^��-^^^ i It• Board of Building Regulatlons and Standards License, OS.100988 Construction Supervlsor.. e HENRY E CAS-SIOY. 8 SHEO ROW WEST YARMOV�- H r It Y "•� •rAll � ?rill% -CA . Explraftn*: Commissloner 1111 112 0 1T a a a Office of Consumer Affairs and Business Regulation 10 Park Plaza -' Suite 5170 Boston, Mausetts 02116 Home Improve me t-3 .o.• tractor Registration ( � - -�• �� Type: Corporation Registration: 153507 Cape Cod Insulation, Inc n, ; `W �� �' Expiration: 12/14/2018 18 Reardon Circle So. Yarmouth, MA 02664 d _ w iCAI Update Address and return card. Mark reason for change, {5 20M•OS/il ' -• ---_�..._......�_.__.___. ....__._.�._..__.__�_._...._..__._._.._.__ �-A�t�rF'�$^.N--�-rt•a!'2!'1i::1f•.n F rd r` de Wiarnmwiwveaht�oloAaooackedo . Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONtRACTOR Registration valid for Individual use only a before the expiration date, If found return to; jyr�ef Corporation - u(egist:ratlon. Expiration Office of Consumer Affairs and Business Regulation 10 Park Plaza•Suite 5170 12/14/2018 Boston,MA 02116 Cape Cod Insut t Henry Cassidy` 18 Reardon Circla/ 1L C� So,Yarmouth,MX Rr - ''' Undersecretary Not valid without signature The Corldrt'tonivealtlt of M(usachusetts y Department of Industrlrtl Accl(lents 1 Congress Street, ►Suite 100 �7 Boston, MA 02111.2017 ivrvw,mass,gov/dlr6 . "),Vot'kers' Compensatlou Insurance Affidavit; Bglldors/Contractors(Electricians/Plumbers. 6pulleant Information TO BE FILED WITH THE PERMITTING AUTHORITY, bly Name(Business/Organizdtion/lndividuap; Please Print Lc i_ 1����� �4�y � � . i 2 City/State/Zip; "' - ALL Phone - Are you an employer? seek the appropriate boxt _ Type of project (required): I.�t am a employer with .�✓' employees(full and/or part-time),' 2•Q 1 am a$ole proprietor or partnership and have no omployees working for me In New Construction anycapecity,(No workers'comp. Insurance required,) $ '(] Remodeling , l,❑I am a homeowner doing all work myself. (No workers'comp.Insurance requlrod,)r 9. 11 Demolition 4.(]I am a homeowner and will be hiring contractors to conduct all work on my property, I will 10 ❑ Building addition ensure that all contractors either have workers'compensation insurance or arc solo proprietors with no employees. l l Electrical repairs or additions I am general contractor and I have hirod the sub,controotors listed on the attachod shoot; 12,[�Plumbing repairs or additions These subcontractors have amployeos and have workers'comp,Insuraneo•I 13. Roof repairs 6.0 WO ere a corporal on and its Moors have exerclsod their right of exempllon per MOL o. 152,¢1(4),end wo have no omployoas.(No workers'comp,insurance required.) 14'( ,Other-/G/i,J%l�� Any applicant that ohoc(cf box N I must el10 till out the section below show wor ing their kers'oompense tio n poli cy in formallon. Homeownerssubm who rF1his affidavit in'dicalfng they are doing altwork and Then hire outside contractors must-submit a new affidavit indicating such.r� lContractors that check this box must anachod an additional shoot showing the name of the subcontractors and slate whether or not ihoso entities have employees. If the sub•eonlractors have employees,they must provide their workers'comp.policy number, l am an employer that Is Provlrll1►g workers'corrrpensatlon lr;surance for my employees, Below is cite policy and job sire infer»rntian. � mm Insurance Company Name: ' --' . IZ Policy#or Self ins. Lie. # "' o "� -• Expiration Date: ' iV Job Site Address: -nL-e-- Atl8civa �:. copy of the workers' compr,nsatlon policy declaration page (sbowingryhe ptol cy aumbe/ and e�x �^ Vk Failure to secure ctiderage as required under MOL c. I52, §25A is a criminal violation unishabl pl and/or one-year imprisonment, as well rat(on dAle), as civil penalties in the form of a STOP WO p e by a fine up to 1,500.00— day against the violator. A copy o'f,.this statement may be forwarded to the Office of IInnvO�ER and a fine of up to$250.0.0.:a coverage verification, esttgations of the DIA for insurance t rlo hereby cerf under the palms and per:altte t natu e: s of perjury that the! or t(/ matton prouder!above rr true and correct, i� to e# 1 t Official use of;ly, Do,�t`rot write In this area, to be completed by city or town offlcla4 T 'City or Totvn; Permit/License # Issuing Au(borlty(circle one); 1. Board of Health 2, Building Department 3, City/Town Clerk 4, Electrical I T 6, Other nspector 3, Plumbing Inspector Contact Persona Phone M CAPECOD-27 DEATON �►�ofto• CERTIFICATE OF LIABILITY INSURANCE F DATE(MMIDDIYYYY) 712912016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, I? IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsements . PRODUCER CONTAC NAME, Rogers 434 Rte 1�34ray Insurance Agency,Inc, Mg. Arc No): 877 816.2166 South Dennis,MA 02660 )DRESS:mall ro ers ra ,com INSURERS AFFORDING COVERAGE NAIC 0 INSURER A:Peerless Insurance Company INSURED INSURER 0:'Safety Insurance Company 39464 Cape Cod Insulation,Inc. INSURER c:Endurance American Specialty Insurance Company 41718 18 Reardon Circle INSURERD:AtlantIc Charter Insurance Company 44326 South Yarmouth,MA 02664 1 INSURER E: INSURER F I COVERAGES CERTIFICATE NUMBER: REVISION'NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY.PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE XF POLICY NUMBER r04/0112016 IDD/YYYY MMIDD YY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE 0 OCCUR CBP8263063 04/0112017 MI Ea c urr nc $ 100,000 MED EXP(Any oneperson) $ 61000 PERSONAL aADVINJURY $ 11000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY❑JECT DLot:`' PRODUCTS•COMPIOP AGO $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGL LIM T see I $ 11000,000 -B ANY AUTO 6232707 COM 01 04101/2016 04/01/2017 BODILY INJURY(Per person) $ ALL OWNED �( SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) .$ X HIREDAUTOS X AUTO$ PR P R O $ Pr din X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 2,000,000 C EXCESS CLAIMS-MADE' EXCl0006635001 04101/2016 04101/2017 AGGREGATE $ OED I X I RETENTION$ 10,000 Aggregate WORKERS COMPENSATION $ 2,000,000 AND EMPLOYERS'LIABILITY yl N T TE I ER D ANY OFFICER/MEMBER ER EXCLUDED' ECUTIVE N l A WCE00431902 08130/2018 08/3012017 E.L.EACH ACCIDENT $ 11000,000 (Mandatory in NH)I E.L.DISEASE•EA EMPLOYEE $ 11000,000 f yyea des cribe under OES Was OF OPERATIONS below E.L.DISEASE•POLICY LIMIT $ 1,000,OQP DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more apace Is required) Workers Compensation Includes Officers or Proprietors, Additional Insured status Is provided under the General Liability and Auto Liability when required by written contract or agreement with the Certificate Holder, CLEAResult,Eversource and National Grid are listed as Additional Insureds on this policy on a primary,non-contributory basis. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE �/� L 01988.2014 ACORD CORPORATION. All rinhta raaarvarl rown. of Barnstable Regulatory Services Ytichard V.Scali,Director Buifldiq Division rom Perry,Building Commissioner 200 Maiu Street, yanuis,iA 02601 �ti�-w.town.barnStable.tria.us . Off-ice: 508-862-4038 Fax: 508-790 6210 property Owuer Mush CiomP fete-aqd,.Sig n TWs Section. If Usin Builde r, H(em14 ✓t /—'i.�Mtc c as Owner of aie suhJect ro crt:y hereby ploaonie io act on inY behalf in-X matron relaizve to Q ork authorized by this bulging pemit agplica6on:for (Ad:dress of f b[i) Pool fences and_alarm—are the responisihil Ly of the,appkant:Poo]s are not.to i car ut7tlir-ed before fence iti installed.and:all f l :iuspecl bons s are performed and.accepted. Signa Sigaa4ure of Apokatt Tint Name Print Name Date Q:I:oRnls:o��'!•'F.RPE:�T.rlsslol�PaoLS 1 ( s y�� f __),ob q--J-4�c-A- /Voc1 z . a� ad�4+1—Ev���l�er_, �•^���k TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application #1-l�— ZVO Health Division Date Issued LZ� fe Conservation Division `Fvr� � � � C ..r' Application e Planning tg Dept. Permit Fee, Date Definitive Plan Approved by Planning Board TO Rs; o t,+iL;­ Historic - OKH _ Preservation / Hyannis Project Street Address 1 -31- ) C.46 5TLOWOC)p (7,iP"C_ E Village '>4 Qv3Wi 5 Owner .21 4 iAk\)b & DA CO O5F Chi Address j 13 C A5 T LEW0,6 D C.P_ Telephone 'S Og a 8Q 1'2 O 3 Permit Request Rbb (BIRTH kOrn -p BA56M'S-OTo 03D 1` QQ jlk) Cr Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater,Overlay Project.Valuation 5,Gr7D . eo Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑- Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing_ new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: 19 Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ' LYNo. Fireplaces: Existing_New Existing wood/coal stove: ❑Yes ❑No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ r Attached garage:'Wexisting ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals,Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION -(BUILDER OR HOMEOWNER) Name-A�E�(K1�D 6A �po3e_C A Telephone Number�S6Og 9&0 1903 rAddr se s-?)13 CA5-TLCiQ0Qb uR�C_l£ License # Home Improvement Contractor# fE a P Ue&FoOne r Ay5+A CFI OT fI11R iL < corn Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM.THIS.PROJECT WILL BE TAKEN TO _ S�.P �12016 SIGNATURE DATE TOWN OF BAR►Mb�,,",-_ " FOR OFFICIAL USE ONLY 1 APPLICATION # DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION pp FRAME ® INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. • ATYC Guide to Wbad Corim!r ac orr irr Hr�714 WIT-hifArita:110 lr HrurdzOng - Massachuget s Che:ckli&t far Com�ffa*nce C =:k 1.1 SCDPE• - Vft d Spemd{3-se¢gum)- -- 110 mph Wind Expo C"MY S --- 12 APPUCABTLFCY . --- - ---1 dnf:e-Df Sbries(a maf vfth=eeris B in;'f2 siapa sW be- 'tiered a sinry) sinries a Z.sfrnies - - - -- [lean Rntrf Height __ 1921) Building Wiidth W (Fig 3) - —ft c 11T Wh Bu g Lara L , �g 3) ft c Bpi Building Aspect Rafm (Fig 4) ._ 5 3=1 NDu l-iW Height Df Tanest eningz _ (Fig 4) • 13 FRAMING DONNEC-nONS General compranm vib fiarnfng Cann ans (Tab}a 2) - 2-1 FOUNDAT1DN • ' Foundation Walls mee&g reguiremerf3 a D C 54D4.1 • Canes-_---.�._.___._.._-- ---------- - -----_._-_..�--_------•-----•- - - .. -_ Danctc-b_-Mamnry 22 ANCHORAGE TO FDUKDATIDA ' 5!B`Anchor BDlfsambedded Dr' PrDpdefary MedlanlcA Dm as an abubaiive in mncrata only BDtt Spacing-genera _ - ----•--•----_--- (Tab 4) Batt spaciig from endTo orplaf$ (Fig _ Bolt Embedment-mn (Fig 5).. in.y r _ Bc)k Embedment- M - (Fig _ - kL 15w PIS Washer • (Fig 55) ->3`x 3`xVT 3.1 FL ODRS ' Floor framing member [yes 730 CMR 55) . Maormum F bDr d g Dimension (Fig 5) - Fui!Height Wag Stu s at F1Dor Ope'gs less$ran 2`frDm Exhe6 r Wan(Fig I1�i3XD'nunl FIDDC.IDi Sefiisada • . . SuPPDKng LDa 9 Wairs or SheanyaIt (Fig 7) _ft 5 d Mmdrnum Cardevered FIDDr.lQ1SfS , SuPpD &KJ LaadbEa arg WaIIs Dr Shmrwafl_ (Fig B) — _ft S d -F1DorSr4cing a End FSDDr Shaming Type -(per7B0 CMf Gfiapr ____ F r>x Sluing Thicim '-(per 730 CMR Chapter 55).r.._-�- ut Floor&hewing Fasienmg_ - (Tab1a 2)_ d marls at in edge(_in field , 4-f WALLS � � - Wafl Height Lsadbeating Walls .. (Fig 1-0 and Table 5) ft 10' maf ring Walls (Fig 10 and Table 5) _ft-S 2fY Irma.![Stud 5 (Fig 10 and Table 5) —_in.s 2�ar- 2�g' Wag Sfnry Mets (Figs 7&8) _ft c d , 4-2 8KTEFJDf-PiAL.LSi r Wc>c)d Sfuds Irradbeariag��alfg— Rhbia -_fl_in.. Non-Laadbearing walls -- -- (Tab}a 5y -- mac_-_ft in. Gab d V 11 Brac>n t _ Ie En g RrU HeightEndwall Studs ---(Fig 10) WSP,AffcMcorLan_c ih {Fig 1I) _ ft,=VO _ GYPSUM Ceiling Leng h[rf WSF not usA _(Fig 11) _ Efod 2 x4 Conf wLm Lah-2l Brae Q Sit D.c_(Fi91i�.,.._.___.---:.__.__ or 1 x 3 cling furring scrips L 16`spacing_u*L vM Z x 4 5b=Mng @ 4 ft_sparing in end jalst grin=bays ' DD=blm SpuL - (Fig 13 and Table 5) _ SPA CDnnDn (no=of 15d cammDn nails)' (Table 6) _ i. f(T-YC Guide fo Wood Cansfi-ttrfion in l�gh TFW Arecw II D Erph Wm- d Zone ' 'Massachusetts Checklist Checklist for C©mpB—once ggo c-L,,tRs3oi_=rs)r Laadbeamg Wall Connecfimzsr _ - Lateral (no.of 15d mmmDn nails).—- (Tables 7) - Non-l_tradba.-=g Wad Connez5ons ' Lak al (no-Df I Bd camman Wads (Table B) -- Load BearingWall DperFngs(record largest qp g bUt check al Dpanings fnr mmpliance to Table 9) � if ui.-1 t Header Spy (Table 9) — — Sill Plate Spans (Table 9) FLA Height Studs (no.of sleds (fable 9)— Nont-Load Bearing Wall Openings(numni huVsE paring bfl check al openings for compliance to Table 9) HeadeeSpans-.___ - (Ta US!§) —ff_in.51Z Sill Plate Spans— - (Table 9)_ —ft in_s 12' Fud Height Studs(no.of sfu ds) (T 4able 9) _ 6daaio�rWall SheaMing to Resist Upfdtand 5h Sii7tUiianeausiy _ Wiirnwn Bkldgg;Dirnension,W _ l�iariim�l Heig adest Opening -------.-__--- .- —�6`B` ' Sheathing ty? -(not-- Edge 4) - Nail Spacing — - 10 ar nDfe 4 if less) irL Field Nail Spacing— -- (Table 10 - Shear Connedian(nD_of 15d mmr ion nails)(Table 1 D) _ ---- Percent Full-HeightSheafhmg. ST Additional Sheatoirig Wad ing>S'S"(Design Cancapts)— — maximunz Building Dimension,L - Nc)minal Height afTallest DpeMngZ ----------•-----.--- =�6'B' ` Sheathing Type- (not-4)-- --- Edge Nail Spacing- (7`able I 1 or note 4 if less) Field Nail Spacing (Table 11) -u►- Shear ConnecSDn(no. Df lBd common nails)(Table 11)_ _ Percent Fu lMeight SheafEling (fable 11) —% 5%Additional Sheathing for Wall xith-Opening y 6-3-(Design Canct:pts)_ Wad Cfadd"uig _ Rated far Wind Speed? - 5-1 GOOFS _ Roof frarning member spans cheer? (Far Farts ise AWC Span ToDL see 6BRS Wabste) RDDf Overhang --. -----(FgLwa 1-9)—. ft s smaller of Z`or L13 Truss or Raffer Connections at Laadbearing Wads ; - Proprietary Connectors - Upgf (Table 12). U= P� Lateral -(Table 12)_ = Pff _ Shear (Table 12) S= PIf _ Ridge Strap Connections,if collar lies not I'rsed pit page 21__ (Table 13) T= plf Gable Rake OLLt ODker ft s smaller of 2'or LfZ Truss or Rafter Cannec5ons at Non4 oadbearing Wads Proprietary Cormecbm - ' Uprft— (Table 14) U= m. _ Lateral(ncL of 15d common nmis)-(Table 730 CUR Cho tens SB and 59) ..__._____ . . _ 'Roof 5heafhirig Type -- (per P in.?TI16`WSP RDof'Sheating Thickness—. _' — Roof&wzfhmg Fasting (fable 2) r Nabas: •t. , This chest shall be met in ft entirely,exrlud"mg he speclf"is exception noted in 2, to comply virth the requirements:of 7BD CMR_530121_1. !tern 1. ifthe checklist is met in rls entirety then the Mowing metal siraps and hold downs are not regLfimd per the WFGM 110 mph Gl.tide: _ - - a. Steel Straps per Figs b. 2D Gage Straps per Figure 11 - - . .UpEn st aps per Figure 14 , d AU straps per Figure IT E. Comer Stud Hold Do"per Fgiire 1Ba and Figure IBb _ 2_ 'E=ePfiat,:Opening heights ofup.in a it shall be penuffted when S%is added to the percent Ea-height sheathing erft shdAn in Tables 10 and 11. 'rh:qulrern _ - 3- The bottom-ca plats in extidDr walls shaD be a rnkk nn Z in_nDn*ml fWcknms press=try#2-grade. VK ' -AFFC Ga de fa Wood Corrv&ucdorY III J�i h H,-uzdAreas_ 110 mph H�ladZUrze • Massachusetts .Ch ec.klist for CompHmee Cna c Rsaa.tf :i)r - 4-. - a From Tables 113 and 11 and for lion afvrA shbes8-ing and Burlldirng Ratio,determine PerckrA Fuff-Height . Sheaffdng and 14A Spacing rmquitamen€s , b. Wood Sirucfural Panels shall be minhu n Nd*Ib)a- of7116'and installed as follows: - - L Panels sha11 be installed WM strengthparallel to k ii- All homm�W joh16-shall❑=ir m er anled to gUL Dn single stnty mnsfruc6❑n,panels shall bch In bdtinm plates and top inembe r of the double --- —-- — ------- _-- iw❑.stary. strudan,-upper_paneEs.sha tn-he lap membernf-fhe upper double top-- --- play and to band joist at botbM of panel-Up of lower panel shall be made to band jorst and lower attachment made to lowest plate first fio❑ ' g. V. H❑r¢nrrfal nail spacing at double,top plates d jo'rsf3, itders shalt be a douiile rrnar of 6d - staggered it 3 inches on cer�per fi bef❑w_Verner an rrmr�rfal hlaiTrng for Panel Attachment 5- GlEzhg pro�orr a)`new b❑tsse er horimnW addi5❑n— iced if projecfis 1 mile to shore(generally,south of Z9 or north of Rb-- 6) b)vwf r:al addMan—not regdfad theere Is rxmr renovaSDn to a firsfifto❑r c)replammentiyBdovrs—needs Co n rnrnpiiarr�❑ ap 93) - 6_Wood Frame Consul ction Manual(WFCM)for i 1D MPH, Fxpasure B maybe obtained from the Arnmicn Wood Counrij (AWC)vn-1 ie. - ' rrssa�a u� - • I', _ 11 qVC i is rt t = 4 c it tl LI it Lr Ia ac • t— li it @ t t _ a r m ri n i � c r t_ s bi , �t - r i rt [ r Ed�[fiTi[T� i I, ;L i[ Il� I y ■ _ E • ,Y ILii • ' It jt s t l sla- ' Il t I I x " Et It ` Y S . 1,• It r I rI �I _ _A TI f,TAS-�kC:'h�. � � ` . Ar•�ILF'AI'r� - � P.Cf� See Dale Orr Rext Page Vertical and Harv�n{at lrlari g tbi( for Panel Atbchment ` ��rnFal find HQ1iz rsl�I NaiCu�g • faF F�zeI Affar�'rrrerLf . 37ie Carnnomved*of3&Ysadrrtsetts Department of mistrial Acddetrts - -- Office of1M gehiGrs. _ Bastotr,�f 417Z�� :. • - ku�v�um�.gflv�rtia � - Workers' CompensationIusurnce f rlzvf�Builders/Contracturs ect icbmwPhimhers Applkan#Iufarmating Please Pit F c:N ��-� t�l f� i�f� POD G�1 CAddre= 316 c i 4L t City/Statn(Zig rl tJ 5 M19 1Q,)(06AP1wn5'tq,-- 5O'9 aR o 119 O Are you an employer?Checkthe appropriate bam Type of project(required).c I.❑ I am a employer veith 4. ❑I am a general confrscter and I • employees(fall aadfor park-timed* base hired the sub-coahsact G_ Dery constfrut�f m as . 2.❑ I am a sole proprietor orpartner- fisted oaths attached sheet ?. ❑Remodeling ship and have no employees . These sub-cmtractors have 8- ❑Demolition woddng for me in any capacity. employes andhave wodmre c msuran�2 9. ❑Building addifioa �o�t�ers'co%g.��nr� comp- , rewired—]. ❑ We are a imrporation and its 10-❑Elechiad repairs ar additions 3- I are a homeowner doing all wolk officers have exercised their . 1L❑Plumbing repairs or additions i no workers't'°mF �gbf of exemgfiau per MGL L❑Rflfrepaiis r��,;r.d-j E c.152,§In andwe'haveno v - employees:[Noworlers' 13_❑•father comp.insurance requireA] •�.uy agpF�LHaa[cT�ec3�bos rl Est also fiIl a�oFthe secBoabelow�vag 3ie¢wo�cexs'c®pP,•�Afi,,,•poycgi�nFmsae� . �ameoe aQrstrha submit this�davu s g Y sn g sII Wc�c sad t£�enIdxe outsidecaatractoFsamst submit a new affidavit'"d'�sacs_ fCan1ou=s1h d rb-A tbu bear must zftr-h sa additi®al street showing theme of the a&-c ^'^ zad stzM*het m arnot tbnse enfitin have emplayees.Iftbemb-cast za23m1 ace emgIofw-%may==pm-idetbek worke rs'—p.paIicg—bin I am art wip er t7iatfspratadurg ytrorkers'caarperesaflort irtsrirattcs fvr �rrpla}�ees: EeToiv is the pu8cy and job site €rcformalian - - Insumee CaropanyNt rame:. P4ficy or Self-tug Iic_ Fkpit±iaa Date. z Job Site Address _ CitylStafeE p: Adach 2 copy of the warkers'.compensatioapolicy declaration page-(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL a 15 can lead to the imposition,of rrirniil I penalties of a �P fine U up to$1,5t} _OD andfar one-year- - onmeuiy as v¢&as civil eualties uz the faun of a STOP WORK 4RD o€up to$250.00 a day against the violater. Be advised that a copy of this statf�Pnt maybe foxwarded to the Office o:f 8 e Imvestfgations ofthe DIA for Ins+r+ce coverage-verificadon- Ida hemby esr€r 5,a is acedgams that fit a informa#fba prm dnd abmw Es h=and carrect phone A- 903 02kiaI am wify. Do tint wrke in this area,to be co,&T etc d by dtp artatvn social City or Town: Feri �cense Issmng AuBrority(carte one):, L Board of$esItfi .". T ag Department 3.f 1TosQa Clsrk IIectrical Iasp et:tar 5.PI-ambing I for b.Other Coatct Person: Phone#: — 6 ormation and Instructions ' Massach**setfs Ge neaal La3vs ffiVtea M recP=aII enrployess to lrav&wore compeus�ion fbr that£easgIayees. pm sa ia.this sue,an en�Iayse is defined as.¢evmy pQson is ffie srdvi re,of moihed under nap coact oflm e, empress or impliet oral.ter written." An_Moyer is defined as`man mdivi1,Pam, association,cazparafion or afher legal etEty,or any two or more of the foregoing=agaged m a Jomf cnbmpds0,and i achuling the legal repzese1aii7es of a deceased" Ployer,or fie receives or trustee of an individual,pmiftimshiP.association or other Iegal entity,=PloYing emPIoyees_ Hovwever the own=of a.dwelling house having not more than time aparEmeois and who resides 13ierem6 or the;occagut of the - dwelZmg house of anofer who employs pm-sans to do mahtmm=,r.+ncanct on or repair wow on such dweIIing house or on the grotmds or budding appm-E -theme°shallnotbecanse of such anploymeitbe d=nedto be an employees_" 1�CrI,chapter ISZ,§25C(�also sites that every state or local Ticensing agen.cg shall Wit ihoId ffie issuance or renewal of a$cease or permit to operate a business or to aonstrart bufldargs m the courmonwealth for any applicantTrho has notprodur�d acceptable evidence of cdmpuanm With thm hui r-anr.coverageregnired. Ad�onally,M H,cbapt=152,4§25C{�sfaf�-Neither the cumin awcalih nor i Y ofits poIifi l subdivisions shall FM into any ooniraat for the perform as ce ofpubha mitotic m it acceptable evidence of compliance with the inc�-n-an c6. iPa have been end in th.e cOn�-�,g antho�" regTm�me�s of this� P� - AppIi-zn-b Please f of o:at the wo&ess'compeasaiim affidavit compye rj-y,by d1=1dag the,boxes&at apply to your srtuat ion.and,if IYsob-contracto�sub.-contractor(s) s , (es)and> enmmbez(s) along withtheir cert��e(s)of necessalL SPP s withno to ees other than the fi=mce. Limited LiabrMty Companies(LLC)or Liuutea iabMtyParfrzhip (IMP) Y metibers or pari�rs,ar e not req d to cagy wnzkm compete safran ins¢r`�mce- If au LLC or T.T does have C1npToyees,a policy is requ:red. Be advised that this afhdaYkmaybe submitted to the Department of Industrial Accidents for confirmation of ins=re coverage_ Also be sure to sign and date he affrdavii The affidavit should be retied to_aa city or town that the application for the permit or license is being requester not the Depmdment of dal A_Cz m-fs Shauldyou have any gaestions regardmg the law or ifyou ate required to obfzm a worlous' ompmsationpofiey,plmsemRtheDeparfineotattlien=b=IL-fEdbelow. Self-fimued=nPEnies should entrx. eir c s elf-insarace HCtMe amber oa the appmgaate line_ tatty ar Town offi-cials_ f _ Please be sore that f 3z affidavit is complete and pr!mted Iegiibly- The Department has provided a space of the bottom of the affidavit for you is fill a in the event the Office ofInvesg Lions has to confartYourr-g�.gthe applicant. Plms5be sum tx)EMin the p=.ifJHr,=sc mriiberwhichwill be,used asamfc=m==ber In-addition,am.appHcant i must submit multiple pernllicense applitafions is any given yam,need only submit one affidavit i d,'ca�v�-"'n'�'t policy inf oration(if neessry)and undea"Job S A T s"the applicant should v rye'all Iocx ^us in (citY or town)-'A copy of the-affidavit that has been officiany stomped or mark-d bythee city ar town maybe provided in the • applicant as proof that a valid affidavit is oa file for tdm pcm s or Hceoses_ A new affidavit m ist be f Mcd out earl There a home owner or citizen is obt Eaiag a license or peamit not relatied in any busiocss or commercial v year. �Cie_a dog license or pewit to bv¢n leaves eta-)said person is I`IOT �t°COmPIee this affidavit ne,Of E=of juTestigatiOns wouldhimtothank you inadvance for yonrcooperzaanandsbouldyou have,mygaestions, please do not hesitate to give us a call. i The I?e=pariment's address,inleghone and fax mm�ber: - T cmmomwala of Mam@� Iegarfmmt of Iii&mtdal AmUenta oo-u=Its Oii11I Fax 9617;727 774-9 Revisexi4-24-47 R ga-TARE Town of Barnstable Regulatory Services BARNsMIM aA Richard V.Scali,Director. 1659. Building Division Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Sectiorir' ' If_Using.A Builders 4 .tS I I , as Owner of the subject property hereby authorize to act on my behalf; in all matters relative to work authorized by this building permit application for: f (Address of Job) ' 'k*Pool fences and alarms are the responsibility of the applicant Pools � 1. are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. F Signature of Owner Signature of Applicant Print Name Print Name Date Qi TORMS:OVNERPERMISSIONPOOLS i r Town of Barnstable Regulatory Services • dFt Richard V.Scali, Director Building Division ` Paul Roma,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: 3 13 CA 5-TL E W00.D 6K " 1 R O N i:s n)(A number street Ivillage -%MEOWNER^: e}�_E MCA O DA M 1 '6066c4 Sn S �_8.0 18 03 name home phone# work phone# CURRENT MAILING ADDRESS: 31,5 GA 3TLE UJ00 0 L1 YL o. city/town state zip code .The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be,considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building-permit. (Section 109.1.1) The undersigned `homeowner' assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum mspe -o rocedures and requirements and that he/she will comply with said procedures and requirements `Sign Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the-provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed' Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities, many communities require, as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. r (Kale TOWS ur �w�h� A Ole cb FF PAP CX/ I i ` 1 . I F'T, ,L L, V7 i P • l i i - F --- - - -- - . f{ I f rah i I f I i I I I i i .1 } i CEP o �01fa C (Kale - car 1��wrvert��1��. -A 04 eF G n 9 4 y� `� Tc s. a 13 FT r$ I { i I, 1 1 G , 1 i 1 _1 17 7 I, j f k i i f • i I i I 1 t Z.. . � F t - ' i ,i. .. .. r �' . �.. - ,- , t'• a.. rY�.. 1 t: t Y a. f r�' 4 y_ 4 ¢� rs.+ �"... e f h •. V � � • DS i Xf , t+ � ^i Ji THE+COMMONWEALTWOF MASSACH.USETTS Ch®rlle Baker,-Governor --�• , AT'IO D C DEPARTME,NT�OF EARLY EDUC N A :r ' • �. .e+ m� S i •^w`.,..,� .y .. d Y '+.', ,: Y '7 s t ••t '._ L�cense :to{ProviderF�mil' Child Care 5ervice�' It s .. g y �r r �11ar .,?.^_.. .q a., °$,: •,�,,.r- ii '4` r v. > • "" a rttrw":::�Tij?3«ta;w,Y.x'i.t r +*p Fy" :Y"=f ta'.btrcY' � t ¢y,{At'+sr „3':G� „*"2 �,.aw4`vi.'`krai'rr%�,x b.,�r,Yk"S;i K."P",,J7: r, Program Number: 8031700. r - License Numbem9021395 In,accordance,with:the provisions of Cha ter.15D,of,the,General;laws, and regulations established,by the Department f.Early,:Education and'Care a license Whereby ranted,to: . program Name :." Rafaela I ' Address r• <313 Castlewood,Circle, Hyannis, MA'02601 j r v. u Total Capacity: 6 Floors/Rooms: .1ST FLOOR: MUDROOM,.�KITCHEN, DINING ROOM: BASEMENT .,2"ROOMS. , Condition:, Issue date: 4/13/2015. Explration date:- 4/12/2018 License printed on 7/20/2016 � ' Licensor:5F001 Thomas L. Weber, Commissioner Please Post Conspicuously This.License is Not Transferable THE COMMONWEALTH:.OF MASSACH.USETTS - DEPARTMENT -A OF-EARLY-EDUCATION' ND.-CARE"`- Charlie-Baker,-Governor— . .. k Regular License,,' ily,Child �aie 5erriiee k rr ' • . y .: `. ..i ,.i' •.>: .::.�d � : iZI S L.1 t S .:T �. i" w.:Vidwi }ik'. Program Number: 8031700 License Number: 902139S In accordance with the provisions of Chapter 15D of he General.laws, and regulations established by the Department of Early Education and Care,a license is hereby granted to: Program Name: Fonseca,,Rafaela Address: 3.13 Castlewood Circle, Hyannis, MA 02601 Total Capacity: 6 n Floors/Rooms: 1ST FLOOR: MUDROOM, KITCHEN, DINING ROOM. BASEMENT: 2 ROOMS. Condition: Issue date: 4/13/2015 Expiration dater 4/12/2018 License printed on 7/20/2016On�.Tj/.KI"U Licensor:5F001 Thomas L. Weber, Commissioner Please Post Conspicuously This.License is Not Transferable •, t I P I . ' ` r • _ �. � �' �' e C_ I ' � . , { �J . - - � � ,} � r } �, a r : F 4 i � ' 1 � I . _ - - - � -� �"'�� � � TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �` Parcel 1 l ���i ►`� u Application # t� 167 Health Division I Il� oR 2 RECT Date Issued Conservation Division �uu Application F Planning Dept. �By- Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street ddress CQ Village h 1� Owner -5 Y Address Telephone"�&A J Permit.Request f/ •- SC ✓1 S Y�r Y a, 1. !.! Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay CProject Valuation 46 e U Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing_new 464d Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑existing ❑ new size_Pool: ❑ existing ❑ new size — Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name .&LKr4 Telephone Number--kM R ),3 Se5 CAddr ss= C37 6License# Home Improvement Contractor# E ail Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE S- �.� 1 DATE I 8 ,,;-7 0�d F FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. A r _ADDRESS VILLAGE c OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL I" GAS: ROUGH FINAL r FINAL BUILDING f A DATE CLOSED OUT ASSOCIATION PLAN NO. _ ?lie CommorriveaUh of-Massadrrtsetfs Depar[7nL ztoflndasfridAcciderri& ' - l?, c of 1�mligatirrs . 600 Washington Street .. _ Raston,MA#2111 4 nvvw ma gvv1din 'Wiarkers' CGwpensatien Insurance avid Buildex-JC-anhract�rsMectr ,eians&lunibers licant Infmrmatian Please Print Le lI I�Ts>3xe(Bias W--JOrg , Aa&ess: , CiWSta-&ZiF.,_ ^S Phone Are you an empl ? eck the appropriate bow _ Type of project(required), 1.❑ I am a employer wsth 4. ❑I am a general contractor and I employees(fish antll`or par time)_ * have hired the sub-conteactors 6. ❑New cgnstruction. 7.❑ I am a sole proprietor orpartaer- listed on the attached sheep~. Remodeling N Ship and have no employee These sob-canfractoemployees8_ ❑'Demolitzoxt - worldng for me in any capacity. employeeS Rnd hnle worms, c nsurance.i. , 9. ❑Building additiori [N4 tTtod�ers'comp_;ncnca„�e °mp-i ldl: Electacal . required-] 5. ❑.We are a corpomfion and its ❑ repairs or additions 3. officers have exercised their Q_�am a fiameov�n:er doing an work 1 L❑Plumbing repairs or,additions , m3� p f[No woslrem'comp- right of exemption per MGL 1 _❑I of r e insurance required.)i C.152,g1(4�and we have no eF� employees.[No wormers' i3_❑Other _ comp-insurance required_ 'Any apg6canre"t chedcsboa 01 nmst also fin ow the section below shuv ing then wodteie compensation policy im5nnaROd #Homeowners who submit dns.af5dzvA inuffcztiag they are darn;all won}and thm lute outside contractors amst submit a new af@da-Eft indication sudL fcannactors the t:h,,ktbds boa must attached an,additional sheet durwing the n=e of the sub-cont wAon.and state whether or not[hose esu4tieshzm employees.xthe Snh-c�shave employees,9heymuat•pmvidethek worke&comp.policy number- lam an erlrpIvyYrr Heat is prouirii�rg workers'cast peresrriz rn asJirarsca or m}*earpFaynees Mom is like paficy and joh,site •_ ire,fonuadon, - Insurance Company Nam: , Policy a.or self-ins-Luc.# , Expit atron Date: r Job Site A,ddre City/stawz5p: , Attach a copy of the workers'compen6 ion policy declaration page(showing the policy member and expiration date). Failure to secure coverage as requiredunder Section 25A of MGL c.15'7 can lead to the imposition of criminal penalties of a fide up to$1,SQa DQ andf'or one-year imprisonment,as trtell as civil penaldes.ia tie form of a STOP WORK ORDER and a RM of up to$250-00 a day against the violator_ Be advised that a copy of this statement maybe forwarded to the Office of Investigations oftie DIA for insurance coverage verifica#ion ' I elo heraby cc&jy under the pains andpenalties of ty'thatthe ia,formatiartgrm�d abotIs is bare and carrect erju. Phone A: Djjaciat use curly: Do not write in this area,to be ctrluplreted by clip or&trn affidaL City or T'own.: Per iVUcense# Issuing Aufor4(cavIe onue): 1.Board•of l alth 2.•Iluilding Department`3.C -]Tvh n Clerk 4.Electrical Inspector 5.Plumbing Impector f.Other Contact Person: ,, , Phone#: . Information and Instructions ,, MRssac ,setts Gaheaal Laws chapter 152 rues all employers In provide wOLkemI compensation for flier empIoyees. p -m this side,as e�loyee is defined as-'°'.every person in a service of another under any contract ofhire, express or implied,oral or wrh!: ." Au.Moyer is detmed as`°an individual,partnership,associad&A corporation or other legal eddy,or any two or more of the foregoing engaged is a joint enfsrprim,andmcln.fmg the legal representatives of a deceased employer,or the receiver or trustees of an individual,partnership,association or other legal entity,employing employees. However the owner of a dweIlmg house having not more than three apai tmeirts and who resides therein,or the occupant of the - dw-eUL ng house of another who employs persons tv do maurtenanm,consfmcti on or repay work on such dwelling house or on the grounds or bmldmg appnxtcnautth.ereto shallnotbecanse of such employment be deemed to be an employer." MGL chapter 152,§25C(S)also stairs flat"every state or local licensing agency shall wifTihold the issuance or renewal of a license or permit to-operate a business or to construct buildings is the commonvwealth for ray applicant who has not produced acceptable evidence of crimpfiance with the insurance.coverage required-" AddidonaHy,MCrZ chapter 152,§25C(7)stairs"Neither the commonwealth nor any ofits political subdivisions shall enter into any contract for the performance ofpublic work until acceptable evidence of compliance with the insoranc6. regtm enientS of-dais chapter have been pmseni-ed to the confiacimg aufhoity-" = Applicants , Please fol out the workers'compensation affidavit compldcly,by checIdag&a boxes that apply to your sitnation and,if necessary,supply gob-contractor(s)name(s), address(es)and phone numbers) along with their certificates)of msurance. Limited Liability Companies(LLC)or Limited LiabiIftyPartnerships CLEF)with no employees other than the members or partners,ale not regLd- to curry workers'compensation insurance If an LTC or LLP does have employees,apolicy isregnu-ed. Be advised that this affidayitmaybe s bun to the Department of Indus trial Accidents for confirmation of iner,rance coverage. Also be sure to sign and date the affidavit The affidavit should be retrmmed to the city or gown that the application for the permit or license is being requested,not the Department of La stial Accidents. Should have any questions regarding the law or ifyou are rujaired to obtain a workers' compensation policy,please caU the Department at the r=ber listed beIow Self-insured companies should enter their seIf-insm-ance license number on the appropriate line. City or Town Ofllcials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at tine bottom of the affidavit:for you to tail out in the event the Office of Investigation has to contact you regarding the applicant. Please be sure to fill in the pan�itflicrose number which will be used as a reference number. Ia addition,an applicant that must submit multiple pennit/Hcense appli-cations in aay giver,year,need only sabmit one affidavit indicating rnn-P„t policy information('if necessary)and under"Job Site Address"the applicant should write"aU locations in (may or town)."A copy of the•af davit that has been offici0y stamped or marked by Ahe city or town may be provided to the . applicant as proof that a valid affidavit is on file for frrtorc permits or licenses. A new affidavit must be filled oirf each year.*Where a home owner or citizen is obt ring a license or permit not related to any business or commercial Ydnbre Ci-e. a dog license or peonit to bum leaves etc.)said person is NOT reqah:ed to complete this affidavit The of of Ines tigatims would at to thank you in advance for your cooperation and should you have any questions, please do not heshafo to give us a call. The Departanenfs address,telephone and fax number: T1te CbMMMWMItIE of chusdt# Depa rtinmt of Indutial Accidenta =dice of kVe&Vkati0= 600 washivaa Stet Bwtou.MA WI II Tf,-L 4 617'27--9W cat 4€6 or 1-& T MA SSAFB Fax 9 617 727 7749 Rev ised4-24-07 -mgPgId 1 J AWC Guide to Wood Construction in High Wind Areas:110 mph Wind Zone Massachusetts Checklist for Compliance(780 CA4R 5301.2.1:1)1 L1 Cbeck Compliance 1.1 SCOPE WindSpeed(3-sec,gust).................................................................. ..............:......................I............110 mph WindExposure Category.................................................................. .............................................................B — 1.2 APPLICABILITY Number of Stories .............................................................(Fig 2)............................ stories 5 2 stories RoofPitch ..........................................................................(Fig 2) ...........::.............................. 512:12 _ MeanRoof Height ..........................................................:...(Fig 2)................................................. It 5 33' _ BuildingWidth,W...............................................................(Fig 3)..................................:.........:..._ft 5 80' .........(Fig 4).. _ Building Length,L ...............................................................(Fig 3)................................................._ft 5 80, ..................................... ..... ...... ........ _ Building Aspect Ratio(L/W) .. . ....................... .. 5 3:1 . _ Nominal Height of Tallest Openin92 ...................................(Fig 4)................................................ 5 6'8' 1.3 FRAMING CONNECTIONS General compliance with framing connections....................(Table 2)...............................:................................ 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete;....................................................................................... Concrete Masonry.............. ..... .............. ....:........,.... ................................................... ..........:................................................:.... 2.2 ANCHORAGE TO FOUNDATION''\ 5/8"Anchor Bolts imbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing—general .................. able 4 Bolt Spacing from endrIJolnt of plate' ...........................(Fig 5).............. in.5 6"-12" — \� Bolt Embedment—concxete...............:r�...................(Fig 5)....... ........................................ in.z 7" — Bolt Embedment—masonry................... .........:....:(Fig 5).. ........................................ in.a 15' — .. PlateWasher........................................ ............. ......(Fig .................... ....... ...........a 3"x 3"x'/." 3.1 FLOORS ~ — Floor framing member spans checked ................... .... '...(per 780 CMR Chapter 55).................................... _ Maximum Floor Opening Dimension........................... ....(Fig 6)............................ ft s 12'or U2 or W/2 Full Height Wall Studs at Floor Openings less than Exterior Wall(Fig 6)...... ............................... Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwa ................( 7).................................................... ft 5 d Maximum Cantilevered Floor Joists — — Supporting Loadbearing Walls or Shea If................(Fig 8 :.................................................. ft sd Floor Bracing at Endwaiis.................... r —.........................(per(Fig 9).. ... i Floor Sheathing Type :......'........... (per 780 R Chapter 55 _ Floor Sheathing Thickness....................':.'..........................(per 780 C Chapter 55)....................... in. _ Floor Sheathing Fastening..............::.. ........................... (Table 2).. nails at—in edge/_infield 4.1 WALLS Wall Height Loadbearing walls.......................................................(Fig 10 and Table 5)... ..:................... ft 5 10' Non-Loadbearing walls............. .:...............................(Fig 10 and Table 5)) ................... ft s 20' Wall Stud Spacing ...............:.......................................(Fig 10 and Table 5) ....:..........._in.5 24"o.c. _ Wall Story Offsets ............................ .........................(Figs 7&8).............. .............................. ft 5 d 42 EXTERIOR WALLS' f Wood Studs Loadbearing wails........................................................(Table 5)..............................2x_-_ft_in. Non-Loadbearing walls ......... able 5 _ — Gable End Wall Bracing' — —ft —in. Full — Full Height Endwall Studs............................................(Fig 10)..............................................................:..: WSP Attic Floor Length..............................:.................(Fig 11)..........................I............. ......_it ZW/3 Gypsum Ceiling Length(if WSP not used)..:................(Fig 11)............................................—ft a 0.9W _- 2 x 4 Continuous Lateral Brace @ 6 ft.o.c...(Fig 11)................................. ........................... Double Top Plate — Splice Length ......_.... ..(Fig 13 and Table 6)............... ....... ft _ Splice Connection(no.of 16d common nails)..............(Table 6)........................ ................................ • j 1 ' AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance(780 CMR 5301.2.1.1)1 Loadbearing Wall Connections Lateral(no.of, endnailed 16d common nails)..............(Table 7)........................................................ Non-Loadbearing Wall Connections Lateral(no.ofendnafled 16d common nails)...............(Table 8)................................... _ Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) HeaderSpans ....................................................... (Table 9).....;............................._ft_in.s 11' _ Sill Plate Spans .......(Table 9)...:I...........:................._It in.511' Full Height Studs (no.of studs) ......(Table 9)......................................................... —' Non-Load BearingWall Openings record largest opening but check all o enin s for com Dance to Table 9 ( 9e P 9 P ) Header Spans.........................,...................................(Table 9).............................. _ft_in.s 12' _ SillPlate Spans........................................................... (Table 9)..... ..._ft_in.5 12' ... Full Height Studs(no.of studs).................................... able 9)................................................... — Exterior Wall Sheathing to Resist Uplift and Shear Slmultane_o'-IlWy — Minimum Building Dimension,W Nominal Height of Tallest Opening2 ..................... :...........:........................................._5 6'8" _ Sheathing Type..............................................(note 4)................::".... ....................... _ Edge Nail Spacing.........................................(Table 10 or note 4 if less)........................ in. — _ Field Nail Spacing..........................................(Table 10)................................................. in. _ Shear Connection(no.of 16d common nails)(Table 10)........................................................ Percent-Full-Height Sheathing.......................(Table 10).................................................... 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts)............_.. ... Maximum Building Dimension,L Nominal Height of Tallest Opening2......................................................................... Sheathing Type..............................................(note 4)..................................................... _ Edge Nall Spacing.........................................(Table 11 or note 4 If less).........................— Feld Nail Spacing..........................................(Table 11)................................... in. _ .......... Shear Connection(no.of 16d common nails)(Table 11)................................................:....... Percent Full-Height Sheathing.......................(Table 11).................................. o Wall Cladding _— /o 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts)..................... — Ratedfor Wind Speed?.....................:........................................ .................................. ..................... 5.1 ROOFS Roof framing member spans checked?.......................(For Rafters use AWC Span Tool,see BBRS Website) _ Roof Overhang ...................................................(Figure 19).............. ft 5 smaller of 2'or U3 Truss or Rafter Connections at Loadbearing Walls — Proprietary Connectors Uplift................................................(Table 12)............................................U=—plf — Lateral.............................................(Table 12).......................................... L=_plf Shear...............................................(Table 12).............:........... p — Ridge Strap Connections,If collar ties not used per page 21..... =—p — P P 9 (Table 13)..............................T- If _ Gable Rake Outlooker.........................................(Figure 20).............. ft 5 smaller of 2'or U2 Truss or Rafter Connections,at Non-Loadbearing Walls —' Proprietary Connectors Uplift................................................(Table 14)............................................U= lb. _ Lateral(no.of 16d common nails)...(Table 14)...............................�.......L=—Ib. _ Roof Sheathing Type...................................................(per 780 CMR Chapters 58 and 59).................. _ RoofSheathing Thickness.............:........................................................................... in.a 7/16"WSP _ Notes: Roof Sheathing Fastening...........................................(Table 2).................................. ....................-- — 1. This checklist must be met in its entirety,excluding the specific exception noted in 2,to comply with the requirements of 780 CMR 5301.2.1.1 Item 1.If the checklist is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Comer Stud Hold Downs per Figure 18a 2. Exception:Opening heights of up to 8 ft.shall be permitted when 5%is added to the percent full-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in,nominal thickness.pressure treated#2-grade. A WC Guide to Wood Construction in High Wind Areas: I10 mph Wind Zone Massachusetts Checklist for Compliance{780 CMR 5301.2.1.1)' a. a. From Table 10 and location of wall sheathing and Building'As ct Ratio,determine Percent Full-Height Sheathing requirements b. Wood Structural Panels shall be minimum thickness of 7/16"aid be installed as follows: L Panels shall be installed with strength axis parallel tc studs. ir. All horizontal joints shall occur over and be nailed to ming. iiL On single story construction,panels shall be attached o bottom p es and top member of the double top plate. iv. On two story construction,upper panels shall be attach d the top member of the upper double top plate and to band joist at bottom of panel.Upper atta nt of lower panel shall be made to band joist and lower attachment made to lowest plate at firs or ming. v. Horizontal nail spacing at double top plates,b d joists, d girders shall be a double row of 8d staggered at 3 inches on center per the Fig Vertical ar6d Horizontal Nailing for Panel Attachment i • I t A WC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance(780 CMR 5301.2.1.1)' .-WHEN THU EDGE FMM ON FPb4MM UW Sd NAILS AT Shim Y 14 1 11 1 I 1 �t 11 11 11 • lI ii 11 M W 1 11 Il Q i 1 11 It r 1 � IN � 11 t pQ W 1/1.111 11 ii g 1 n (� � d IJ 111 1 () 11 1 II 11 11 k 1 H t It 11 1 • I I �u7 -� 1 it �11 r 1 ti MA1LSP'ACWG � t See Detail on Next Page Vertical and Horizontal Nailing for Panel Attachment � T Town of Barnstable Regulatory Services - ��$ $�rhara v SraIi,Di�ednr ' Btulc3mg]?iQision TamPerry E�&acr Co�ssianer 200 Mum Street;Hyan l*MA 02601 • W YV W arnstabIIel ma_us Office: 508-862-4038 Fay 509-790-6230 Propeity.Owner Must Complete and Sign This Section If Usin- ABuiIder as Owns subjectprope:ty 1byaoaze to act on mybelml� in aI1 matters relative to work=-borized bmldmg Paunk application for- s of job) '''`Pool fences and are the res ons� of the a ' Ream Pools P PP are not to be or uffl z d before fence is ' taped and all ftna.I ' inspections are eiformed and accepted_ Sim Tr,e of Owner Signature of App' PrintNa= Print Name Date . QFoMIM:a oors ' v Town of Barnstable , Regulatory Services oft Ririard V.Scal%Director , $aufflng Division. t Tom Perry,BuRdmg Commissiworr XrAL 200 Mafia-Sft=4 Hymdm.MA D2601 Office: 509-862-4038 - Fay 508-790-5Z30 $onE;owNE�ELY x p _ l Y Y1 •Jos rocAiTarL � °� . �oowrmi VI VI C �' Te YYe YGt CQgRg ',I411 ADDRESS:! c�9/fawn ap C` The can ent exemptionfor`$am-g—w m "was C)tm ed to include owner-occ�ied dwelimes of six Less and in allow homeowners to engage an inTv deal for hirewho does notpossess a lic=r,provided that the owner arts as s=mvisor_ DXFRZTMN ORHOIEAWIR7M P mson(s)who owns a parcel of land on which helshe resides or inf=&to reside., do which these is,or is mtsnded to be,a one or two- famiil dwelling, affached or(i nced shmctares accessory to such use and/or fay sftuct -m A peaoa who contacts mare than one home in atwo-yearpadod shall notbe considrredAhmmmwnw- Such`fin aWWnee.sh&U"n ' to t3io Bm7diag Offcia1 an a fr3 ==ptabk to the Bm7dmg of ffiia],that bclsha shall be mMonmblc for all sash work p=fa=3ed mmdesihm bnHc�• 9M= (Section The tmd=igned.`homeownce assumes=ponsbs7iiy far compliance wifhtho State Bur7ding Code and o$rr applicable codes, bylaws rales and regmhti ms - t The.mdmmgned`hon=wnee cues thathelshe mdcmbmds the Town of BamstabIm BmIffig Depmfta=t mspectim Proms ands andfhathelshewffieomplywiib saidgmcednresandreq�ameais. _ 7`A"'lw/...••.^.�=v �• O nit-LEA s•' �r Approval afB�ffldmgOfaal Note. Tbree-famiZy dwcU ap mnfammg 35,000 cubic feet or larger WMbe tm cmPlYwiththe State Bm dbg Code (` c-Frt�rf inn C a� Section Y27.0 � � . $on�owr7J�•s pox The Code rbeis that aAny homeowner performing work for Which a b permit is required shall be exempt Pram t bLe provisions of this secfinn(Section I09_I-I-X.ICP�of cmnsfradion Supervisors),provided that if fie homeowner engages a person(;)for.bire to do such work,that sarh Homeowner shall act as s¢p ervfsor r Many homeowners who use ffis ezempfmn are unaware that they are r==Tug fie re:spousi T-RH of a supervisor ( APPeudiz Roes Be Regulations for Lirrmsiag Cons(racfrnr<SIIpervisors,Section Z_I5) This lark of awarrmess often results in serious problems,pArfimlarfY when fie homea�enot hires mffim se Persons. In this case,anz Board cannot .prD=cd against the unfcrosed person as if would with a licensed Supervisor_ The hDmwwnrr acting as Supervisor is ultimately respom m-ble, To easare that the homemwars is fully aware of his/her respoasffflti ,many comp mffl�require,as part of the P=Mit apPiicaiian,that the homeowner certify that helshe anders'tnuds tiie rz*pousibiTid3es aft Supervisor.Supervisor. Oaf=last gage of g,b issue is a form mrr=dy med by=m-A t DWM YOU may care t amend and adapt sarh a form/crrtiff=dion form is your c ===ftj Rodsed D61313 Y 2 � f a u k` ? 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